剖宫产术后再次妊娠106例分娩情况分析

Delivery situation analysis in 106 cases of the re-pregnancy after caesarean operation

目的:探讨剖宫产术后再次妊娠分娩方式的情况。方法:选择剖宫产术后再次妊娠孕妇106例,对其分娩方式、分娩结局及医疗费用进行分析。结果:106例剖宫产术后再次妊娠者,行再次剖宫产85例(80.2%);阴道分娩21例(19.8%)。剖宫产较阴道分娩出血量大,分别为(177.0±1.5)ml和(84.0±1.2)ml;平均住院天数剖宫产较阴道分娩相对较长,分别为(8.5±1.5)d和(3.0±1.5)d;医疗费用剖宫产较阴道分娩组高。结论:妊娠期有剖宫产史再次妊娠者,无绝对剖宫产指征时可先行阴道试产。

Objective： To explore the delivery way of the re-pregnancy after caesarean operation. Methods： 106 cases of re-pregnancy after caesarean operation were analyzed for the ways of childbirth, the outcome of childbirth and the cost. Results： Among 106 cases of re-pregnancy after caesarean operation, 85 （80.2 %） cases received repeated caesarean operation, 21 （19.8 %） cases delivery of vaginal birth. The quantity of postpartum hemorrhage of repeated caesarean operation was more than that of vaginal birth, （177.0±1.5） ml and（84.0±1.2）mL The average days of hospitalization of repeated caesarean operation were more than that of vaginal birth, （8.5±1.5） d and（3.0±0.5）d. The cost of repeated caesarean operation was higher than that of vaginal birth. Conclusion：Caesarean operation history is not the absolute indication of caesarean operation, vaginal birth is possible.